Chapter 26

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San Jacinto Community College *

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2101

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Chemistry

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Dec 6, 2023

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docx

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Chapter 26 Fluid Electrolyte and Acid-Base Balance 1. Plasma contains more sodium than chloride. How can this be if individual ions of sodium and chloride exactly balance each other out, and plasma is electrically neutral? There are additional components of blood plasma that are negatively charged, and the additional sodium from the other components helps in balancing the total negative charges. 2. Describe the effect of ADH on renal collecting tubules. ADH constricts the arterioles in the peripheral circulation, this limits the blood supply to the extremities and causes the blood supply to the core of the body to increase. ADH also causes the epithelial cells lining the renal collecting tubules to move water channel proteins called aquaporins from the sides of the cells to the apical surface. This results in greater increases to the passage of water from the renal filtrate through the wall of the collecting tubule as well as the reabsorption of water into the bloodstream. 3. Case Study: Bob is a 64-year-old male admitted to the emergency room for asthma. His laboratory results are as follows: pH 7.31, pCO 2 higher than normal, and total HCO 3 also higher than normal. Classify his acid-base balance as acidosis or alkalosis, and as metabolic or respiratory. Is there evidence of compensation? Propose the mechanism by which asthma contributed to the lab results seen. Respiratory acidosis is present as evidenced by decreased pH and increased pCO2, with some compensation as shown by the increased total HCO3. The patient’s asthma has diminished his respiratory functions, and the excess carbon dioxide is staying in his blood.
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